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HomeMy WebLinkAbout0295 NOTTINGHAM DRIVE - ,�+ "-^ , �' �" o � ., _ _ , _ . :, . � � . . •r - .: ,:. ; �. -,,. .. ,. ., :. +_ .. ,. � - .. .� ,. ,. .� • � ,. • v .- �. .. .. .. a .. :. �.�. �� .. .. � � - , .. vk., n' .... ' _. - �: '. a p � ,..� ' ,_ ,� ,. r �; , a �. � �, ,. . � •.;: �•,��. �� �„ ., ,.. � .. �: �, .� - , ... ., .: . .. _ ,° ,. ,� _ _ .. n .: .... ,.. ... t. ,. v F ., �'�, .t � .�. :. � ,. �.. �:� a i. ��� . iti ' a • �. ..� ` . � { .. _ .� ... a .. �. :. � a._'. .. .-* ,^ z ' �.y e. r ..: ti � . v u ._ " , ��r.+ �. - �� .. � .. .� -. ', ..,. ..: � ._ � �. � r l�._. • v .. �.. r' p ' F .. � _ 1 ui ,� ._. ... , ;, .. :. .. .. .. .. � ., . a.'�F i� ��t ,. a h • .f .. ..: .. ! R 5 fr ..r � �. • A,• Y: "'d .. - � 1 v • � ... � � .. � ,. :. r -' r �' r + '". ..;.. i ���., � r.�V'. of �� " � ,y � � ,p•. , • � � �. � ..: .. - ' .. �t .: e, a. i ._ .: . C� /� �. • -� .; _ E .. r ,� ;. ,. ,, ,. ., R - ,. ;� a. `, .. ,,. „ ,,: e ... ,, _ - �. e t.. �- .. _. � r ro c rt% ., - _ .. .. ,. .. -. .. ... ,. .., -... .- - i... .. .. . . - .. � .. ,.. �. ,' ,a ,. .. - .. ', ,t. .,� ... � - '.. �. �� .. .: .. - ,. t. � .. .. .. - Town of Barnstable Building Department Brian Florence, C'BO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barhstable.ma.us Pre-application for Business Certificate Date 2 Map 1 / Parcel D Sy Applicant Information Applicants Name Applicants Address „ ?_C ,�� � Email Address Telephone Number Fr- Listed D'_Unlisted ❑ Business Information New Business? Yes No ----------------------------------------- Business is a registered corporation? ----------------------- Yes No If yes Name of Corporation y� AFAL!,649L -2 L6 Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ____--___ Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business�Z�� rr�y_ 4( Business Address Type of Business �g Building Co missioner Office Use Onl �jj Conditions 7 Building Commissioner a� Date q �� Clerk Office Use Only Town of Barnstable Building Department °FTHe r .r, Brian Florence,CBp 'Building Commissioner 3AMSTABLE, ` 200 Main Street,Hyannis,MA 02601 MASS. °0 i639• #W Aown.barnstable.ma.uS PIED MA'1 A Office: 508-862-4038 . . Fax: 508-790-6230 Approved: Fee: Permit#c HOME OCCUPATION REGISTRATION. Date: Name: /LGE2�� F�.Q.Z //�Z;7` Cw�/ .G i Phone# 063/ Address:,p�y� Village: 2,s1,7 k e z >� Name of Business:' 0"1 yH GB2� �1 Type of Business: Map/Lot: y INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air.or groundwater pollution. After registration with the Building Inspector;a customary home occupation shall be permitted as of right subject to the following conditions: : t U • The activity is carried on by the permanent resident of a single family residential dwelling unit,located rC- within that dwelling unit: "� � --3 • Such use occupies no more than 400 square feet of space. G 3> O •. There are no external alterations to the dwelling which are not customary in residential buildings,and there D . is no outside evidence of such use. • No traffic will be generated in excess of normal residentia]:volumes, m � -G • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular t/) C _ matter,odors;electrical disturbance;heat,glare,'-humidity or other objectionable effects. r —� • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. Z Z O • Any need for parking generated by such use shall be met on the same lot containing,the Customary Home : Z - M Occupation,and not within.the required front yard. M D O • There is no exterior storage:or display of materials or equipment. r= CZ • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one C C pick-up truck not to exceed one ton.capacity,and one trailer not to exceed 20'feet in length and not to M exceed 4 tires,parked on the same lot containing the Customary.Home Occupation. > • No sign shall be displayed indicating the Customary Home Occupation. O • If the Customary Home Occupation is listed or advertised as a business,'the street address shall not be Z included. •_ No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,ha v d and agree with the above restrictions for my home occupation I am registering. Applicant: 7 Date: Homeoc.doc Rev. 10/17 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us. Pre-application for Business Certificate Date / / Map l / Parcel 10 Applicant Information Applicants Name 416-Z yi Z / Applicants Address fS/I/bi���/�l�4til Email Address —12 r/ /0i%'zoo• ef4�' Telephone Number - ® 3 / Listed ❑ Unlisted ❑ Business Information - New Business? _______________'___ ____________ Yes No Business is a registered corporation? ________________________ Yes No If yes Name of Corporation /0 y � —A G i N (�!✓L� Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _______ Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business !Y� �,4GT/r� Gq� Business Address-,-,2 P, Type of Business ZI �� ,�' ;� Bu ding Commissioner Office Use Only Conditiolis >[ Building Commissio r f Date Clerk Office Use Only YOU WISH TO OPEN A BUSINESS? y For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st.Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: o �f'f�0 6 Fill in please: } APPLICANT'S YOUR NAME/S: PQ,nri, ei Li BUSINESS YOUR HOME ADDRESS: 2.9 5- Nu+f, D f. �oSC-3aq-Z!66 (^PJ1t�Yyil� M/a C1Z63Z TELEPHONE # Home Telephone Number- ED,?-30- Zi 6 6 NAME OF CORPORATION: NAME OF NEW BUSINESS S"r)K fen ExemsS TYPE OF BUSINESS_L nfp��Sales IS THIS A HOME OCCUPATION? X YES NO ADDRESS OF BUSINESS S-S MAP/PARCEL NUMBER . 1 4I - 0-5-0 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE E OCCUPATION HOME WI TH M MUST COMPLY TH This individual has been informed of any permit requirements that pertain to this type,of business. RULES ANDCOMPLY WREGULATIONS, FAILURE TO Authorizer]Si rta ire** COMPLY ikIAY RESULT IN FINES. `COMMENT - 2. $OARD OF QALTH C This individual has been informed of the permit requirements that pertain to this type of business.` Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing,requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable �tKE Regulatory Services Richard V. Scali,Interim Director Building Division BARNSCABLE, 9� Tom Perry,Building Commissioner z639. �0 '°rFp Mpt a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: / �20 16 Name: 1 2n 9 f e l L Phone#: Address: 2Q 5 N[6ttto�ho wK !J lam• Village: Name of Business: S UA9 I eta �x (OSS Type of Business: LntPt '-jt' Rtt-Q.l C Qp-s Map/Lot: ,:7 I INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the 7-onumg ordunance,provided that.the activity sliall.not be discernible from outside the dwelling: there shall be no increase in noise or odor;nro visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. Alter registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located Madill that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing die Customary Home Occupation,and not Aithin die required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to die Customary Home Occupation,other than one varn or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on die same lot containing die Customary Home Occupation. + No sign shall be displayed mdicating the Customary Home Occupation. • If the Customary Home Occupation is fisted or advertised as a business,the street address shall not be i icluded. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,hav read and agree above restrictions for my home occupation I am registering. Applicant: Date: 0 1 9 11442-0 16 Honieoc.doc Rev.103113 f of Town of Barnstable *Permit# a -4 • p� Expires 6 months from lasue date l� , M : Regulatory Services Fee *63 Thomas F.Geiler Director 6J9� �� i Building Division Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 F`� ESS PE p_- Office: 508-862-4038 Fax; 508-790-6230 MAY 7 3 2005 EXPRESS PERINUT APPLICATION - RESIDENTIAL ONLY Not Valid without RedX-Presslmprint TOWN OF BARNSTABLE diap/pareel Number �7 b ?roperty Address J._ � #l+'t A✓� t`c�. C e n Residential Value of Work i Minimum fee of•$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name WW\V. �Ve AeA Telephone Number Home Improvement Contractor License#(if applicable) b y Construction Supervisor's License#(if applicable) Norkman's Compensation Insurance ' Check one: 1, 0 I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name � v11\ 11A J\0 \ ^18 1 b o'"t 1 5-81 6 a , Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 05�roof(stripping old shingles)'All construction debris will be taken to ec5b 4c,C-e a ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property 0wa si Property Owner Letter of Permission. Ho Impro tractors License is required. Signature k i Q:Forms:expmtrg Revise063004 � � A #( A h F , e ep:Toad R i'�� � � 35;p ST d• r terville A4A 02632 F A (508)420-6216 �k r O 3'TED TO: ' `� ' � ` 1 W ORI�PERFO t RMED AT: «S v ///JJJ es LJ fc Y- ® .. , 21, we herb y propose tofu furnish the completion of the following; materials and perform the labor. s nz New Roo ; a t necessa' . for Remove I l he Install8"dri er° existin shin les Install ed ice water shield at ed e Install = E� -_—ISI--melt Daffier Install MT£M Certainteed r,' Color o choice '�SAI ae Resist' ✓ t shin les Cut ride 4 ` c$install cobra v *Flee ll i�t All ent debris cleaned wank You , Bail _ Price includes material laboryh r ees All material is 5. guaranteed to be a accordance with s s specified pecifications submitted for above above work to workmanlike manner for the sum of F Performed in Dollars and completedin a substantial }' With our Thousand Six$ t Payments as follows• wed * ,full amount due upon co Any alterations)from abov P mpletion j�" agreement, and becom an 1nvolving eactra costs will be added u RESPECTFU y tra a e over and above si ned under written Signature g estimate/agreement a w, 05-02-05 The above prices s e • ACCEPTA1tNCy; ®F P p cification Z2OPOSAL YOU are authorize conditions are satisfacto SignatureO to do tie ey ry, we herb ��L aYments i11 b Y accept Date: - as specified"above.. * This �°� • © � PoPo al may be withd b Ce rawn y said com P y i .not accepted within 30 days .°^ d a't' F FtF q ! ✓' x ' .: J , � }� s +3- r M a�E^r . �� �.` �ti . ' ram{ a aP )� e�� •{�' t � y� w I 1 � f` 41 Board of Building Regulations andIStandards HOME IMPROVEMENT CONTR Re ist�'fi6fi. . 6480 i � 8F 006 r i yii 4 IduaI MARK HERBST MARK HERBST 35 PEEP TOAD CENTERVILLE,MA 0-2632Admina J r ---_ The Commonwealth of Massachusetts " _ Department of Industrial Accidents Office oflnvestigations 600 Washington Street, 7`h Floor ` Boston,Mass. 02111 g Workers'Compensation Insurance Affidavit:Buildinig/Plumbing/Electrical Contractors �`�r'•"'ip',6'+.",iix -=�:s �'+a��.hS-.. ":$'fi 'T.'"�•W� 'iia�r=s.xf�-v tk3 :'z '."s".. - •',r,..•.,-.,.. g 1�7iiilleana'ilarattto3i x4tix' rMF�*� easPesnlaat' r rt w Sf name: address: city state: zip: phone# work site location(full address): ❑ I am a homeowner performing all work myself. Project Type: • ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one working in rL;? anXcgacity. Ir—�1 BuildingAddition a- ce •A,...: ,rr,:: •.t-�'r ,.-•..•......�m ... :.;t... i�$'. k7? •� ';C";� ',t< ','tip., ..�.:� cr�' ;•,.•u��.o-m; t;-n_-r .:�.� ' .:<e.,.ti,.ai'! :.,:.;� ,s•'� .: .�,a '.:, m',�i�•;?`-:•t::�`::.�.T.,:,: s,a. .:'. '�'rQ:S,:�, .�'4 �.,Si z?•!;�.e°•�y r:�i"•`,`t�'i�'L:d^fin ❑ I am an employer providing workers' compensation for my employees working on this job. company name address:' city: phone#• insurance gc���o. nolicv# .l:rd.r.�e..�atz.ar?.•l ad:�bxrs.h?iie..:k. '6:5s}®�.. :1. .J. ( L h... .,.'.:... ,:'�..✓... Fps: ..... :G-.'Ei.Ch. .F':iw.s�+a.�` t•�..... n r... w.�eC+S+n:.. r,�,..�.e•.•.�". ... �..:r_ ' G.•.o�'y_uibis:—'E, .'�4.i.•i:.:.":�;A':.°.'>Y:�.:+L:>.w.•+.'µ EJq-am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: n y y com an name: address: 313 city: (ft P—Vi 1. phone#: insurance co. i "V`%J �� I olic # 1 1 O ` 'aa ..s } ,fi i .e••1. i.a�.W"F• Y —i"�d l ..- at:.— ...Yil,!',.: .ten�ii•...,.u. ..n. b.*+IJ,:•`:. r ,,. ..:!.'�:J: ,ic44f-.t'tl �.G" ilY 'company name: • ry address- city: phone#• insurance co. olicz# }r,� :ai +": a s,.M.- '✓, {isFrr,,e'``'.?ty"' r• :U: 'ua^.:,E,>,,s-:� ..:.. �_; }��tl:xE11'�aditidSnal:sh eti:u'erre Sa " �''i'. 'i:� !.r>, 'i�i� per. ..g„•. ;:�.:"'i:��f:.@. +.. .q :;�.�':q-v�.:,.i as'::f,w;_..:�x•iz. {. = ar R�. .... �._.... .._ .. ....1�,,._.....�,. .�-Yo,.+s'n�h.:#�"x�:ati: ,X:�e dn.`.«?�b`"K�.`�:S!us�a13;.J.f aN,.r';w �•31??ppt s h?" ,a. �: �� �..,.,,.. -_. : :. g::'.�}�a'C'.....e�.`di''.�'?a -'-'• :L%,.�e'l:!�'ti�'' 'vac'S�'$�.;;' ,:n„is Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil pe alties in t form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarde o the Off a of Investigations of the DIA for coverage verification. I do hereby certify,un a pain n t es of p jury t the information provided above is true and correct Signature 1 ^} —Date Print name Phone# L4 P e) (o I`R I S'o official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑check if immediate response is required ❑Licensing Board ❑Selectmen's Office contact person: phone#; ❑Health Department❑Other (revised Sept 2003) 4W Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers c pensation for their employees. As quote from the"law",an employee is defined as every person in the service of other under.any contract of hire,expre or implied,oral or written. . An employer is defined A an individual,partnership, association,corporation or other legal e tity,or any two or more of the foregoing engaged in a 'oint enterprise,and including the legal representatives of a decea ed employer, or the receiver or trustee of an individual,p ership,association or other legal entity,employing employ s. However the owner of a dwelling house having not m e than three apartments and who resides therein, or the occ ant of the dwelling house of another who employs persons do maintenance,construction or repair work on such dw ling house or on the grounds or building appurtenant thereto all not because of such employment be deemed to be a employer. MGL chapter 152 section 25 also s tes that every state or local licensing agency sha withhold the issuance or renewal of a license or permit to o erate a business or to construct buildings in t e commonwealth for any applicant who has not produced acc table evidence of compliance with the ins ance coverage required. Additionally, neither the commonweal nor any of its political subdivisions shall a er into any contract for the performance of public work until accepta a evidence of compliance with the insur nce requirements of this chapter have been presented to the contracting authority. ,.w , wx. inns� *s•€"' :t;' ;s4 •a pglsr;' t?. 'r;xFrn.. d�rt.r• ^•'^" .a •f': xj+f .'' «'i �`r3! .`" e ;t- ;j.'Ryk?: `:'V. :• �i v.... �-,•r, ?: � is5'' t�::•;.''. .r:; ev'1,"c":v'"°.•t.;i,..Fa.:1: ns.° `� ( ry � •k ry.� �4.qt? 4:. s• ; rr �f t ?' `:�::• x'.o..'r a :'Ne.'C'ai+:�'n' }'.:°,N.,x•.:Cri,r.;:.;• �i�j'a1`': G.'.;` .. �t,- :YM�S 1 �1. •.:�y, � F" T V ''A :iiti:.'..L7. P`"A. t. Y.- ,:Y �k. :F,"khS W:ie' T�«�Fv 9..: Applicants Please fill in the workers' compensation affidavit ompletely,by checking th box that applies to your situation. Please supply company name, address and phone numbers ong with a certificate o insurance as all affidavits may be submitted to the Department of Industrial Accidents or confirmation of in rance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned t the city or town th t the application for the permit or license is being requested,not the Department of Industrial-Acci nts. Should you ave any questions regarding the"law"or if you are required to obtain a workers' compensation polic ,please call th Department at the number listed below. r:. t' •t' .Y:'i-4$. «'a'Ewtft;;4'r? ,?maw_ � _ •,:•��.c m.rie�t2 '1r .fr"'.t�5'i'_. .a,Z`.:P;:.,;iP�,.-Ytr`" i•*�;fiY":;;•:,�?,:ersj'7:':�''r.,ju,;kP' iF r' ���;' .,-,�'- rK, �'�1':b ,F �`� . •� :., t,. ,�.., s�:. ;�: .,a.r, ,r, -,tea,•. +�}x: ?+-fit.,' ...i;u. } .SY=ii?' 2..,..�r. :1 x,,."�. :�' �s .a..y'n :i:�5:s ";<�m: i.^�.r:•.. F ' :,.�•:•.'.L,i >:.."' rA. '.: 1 •b t .,tt;- ti:ta ,$}. .�: ..5, '"•':� - ;i .:v�. 3a`°y�,•,. �:e s ,v.2�_�.:::i=�: �_.;.., s���'.K ,�M :�. .%� T''} ,.i:-o`+'S' ;7c+�. :d'+. .� '3�!. t4�� 4�:y: fi; �!f;:.9.+"",..•F.r. r_: nyF!.tnx{"z;�S;O+,. at_ix�:... a:'r..�--:�,�'a','V,Ph�.7.�e' =r..ies'.�u�{i�,:�'ma-:5�..:tam;��r�?=:;�i'�`"i�ax.::>����..•,` :�2`.`✓.":�t:.,.n..pm�';..;_ Z:�1' --,sr....._.: §;.='.�r,:-- ..::e..4.; City or Towns Please be sure that the affidavit is complete and printed legibly. Th Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investiga ' ns has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as ference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have een ade. The Office of Investigations would like to thank you in advanc for.you c eration and should you have any questions, please do not hesitate to give us a call. .. .-.,.. .. .............. ... .•.:a:_: _. ,....,.a.'...._:,_ ..F..� .pp-.ea - - ^+:r eqr. - ,':5':�Nr,.:;:'r�!r. oy%;,F xp:. ,xe ..,. +y ,y..s-.^:iF!. .t. ,.i. t}, •7ti.'. r �r.,:JG�, :1; ,,I..y r,r,.� �` .R•,;r:'vt,..�`,�''..h}•. 'S -�i:,.. +• �'. ,a',n�,�,yvs .a�i:af j•-ri.�;. >�'����y�' .!..,..` :Ra-s?'�l' �:r^��°H?:.`�e .��ii .�' „'F`.»-�w�{e".-:i...,. f:' •+.�::5,3 ,r,.,. ..ir.rn Yd7F LN'•_at,A.J: :y4D..Fr!..fit. 'e.%y t! y.. -,:^: � �;5'5' �i%T -• e•�iC,•'i �:. 5n? .,Yy.:l i:]:' :...:.Y-.w.��::..:�.lt..:i�'v`iul'F:: •4:--.�iM . :'�u � 4:?jT.•?' F� ,ff�� ':f.' r�'F.'1"'{!: ti y q �^,3r�+ Tti'�'t� '�Y, sR„n r'.:i)w`:::::it '� �='�'+F.:i°r.�A:.D.`''f.� 4XF�N5�_.en' .dr$Y.�+Fk::;$,i"eZ:iM"[..'�xl:i5•�P' :�ifs4d ..�,��'..y .fi!s.F'T� .ii��' _t,>=tinef ni.c'.i.. 5Y .?f;n;-ri'�•`c:: i.h.: Y- A',k,2"7'`2•,.q.:7n4"' The Department's address,telephone and fax number: The Common ealth Of Massachusetts Departmen of Industrial Accidents Offi e of Investigations 600 Wa ington Street,7th Floor ston,Ma. 02111 fa #: (617)727-7749 phone . (617) 727-4900 ext.406